MEDICARE: ONE WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1669303954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE WELLNESS LLC

Provider Business Mailing Address
First Line	:	350 INDIANA ST STE 550
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-6569
Country	:	US
Telephone Number	:	720-594-6962
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 INDIANA ST
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-5050
Country	:	US
Telephone Number	:	720-594-6962
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEIRDRE FRALLER
Credential	:	DNP, ANP, PMHNP-BC
Telephone Number	:	720-594-6962

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	06/07/2026

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Directions to “ONE WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

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